TY - JOUR
T1 - Participation by clients and nurse midwives in family planning decision making in Indonesia
AU - Kim, Young Mi
AU - Kols, Adrienne
AU - Putjuk, Fitri
AU - Heerey, Michelle
AU - Rinehart, Ward
AU - Elwyn, Glyn
AU - Edwards, Adrian
PY - 2003/7/1
Y1 - 2003/7/1
N2 - In order to enhance understanding of the quality of decision making during family planning consultations in developing countries, provider competencies and client behaviors during 179 randomly selected consultations in Indonesia were assessed. Results show that family planning clients make a significant contribution to the quality of the decision-making process, most notably by identifying the problem requiring a decision, expressing their feelings about using a method, and asking questions. Client involvement may compensate for provider weaknesses, which tend to be in areas calling for interpersonal rather than technical skills. However, the programmatic ideal of informed choice has not yet been realized. Supervisors, trainers, communicators, and program managers can improve the quality of decision making by: creating opportunities for client involvement during consultations, strengthening providers' ability to fully inform clients about their options, and making providers aware of the opportunities for decision making in consultations with continuing clients.
AB - In order to enhance understanding of the quality of decision making during family planning consultations in developing countries, provider competencies and client behaviors during 179 randomly selected consultations in Indonesia were assessed. Results show that family planning clients make a significant contribution to the quality of the decision-making process, most notably by identifying the problem requiring a decision, expressing their feelings about using a method, and asking questions. Client involvement may compensate for provider weaknesses, which tend to be in areas calling for interpersonal rather than technical skills. However, the programmatic ideal of informed choice has not yet been realized. Supervisors, trainers, communicators, and program managers can improve the quality of decision making by: creating opportunities for client involvement during consultations, strengthening providers' ability to fully inform clients about their options, and making providers aware of the opportunities for decision making in consultations with continuing clients.
KW - Assessment tool
KW - Decision making
KW - Family planning
KW - Patient participation
UR - http://www.scopus.com/inward/record.url?scp=0037957390&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0037957390&partnerID=8YFLogxK
U2 - 10.1016/S0738-3991(03)00053-3
DO - 10.1016/S0738-3991(03)00053-3
M3 - Article
C2 - 12900103
AN - SCOPUS:0037957390
SN - 0738-3991
VL - 50
SP - 295
EP - 302
JO - Patient Education and Counseling
JF - Patient Education and Counseling
IS - 3
ER -